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Adolescent’s subjective perceptions of chronic disease and related psychosocial factors: Highlights from an outpatient context study

dc.contributor.authorSantos, Teresa
dc.contributor.authorMatos, Margarida Gaspar de
dc.contributor.authorMarques, Adilson
dc.contributor.authorSimões, Celeste
dc.contributor.authorLeal, Isabel Pereira
dc.contributor.authorMachado, Maria do Céu
dc.date.accessioned2016-12-20T19:03:10Z
dc.date.available2016-12-20T19:03:10Z
dc.date.issued2016
dc.description.abstractBackground: Adolescents with chronic disease (CD) can be more vulnerable to adverse psychosocial outcomes. This study aims: 1) to identify differences in psychosocial variables (health-related quality of life, psychosomatic complaints, resilience, self-regulation and social support) among adolescents who feel that CD affects or does not affect school/peers connectedness (measured by self-reported participation in school and social activities); and 2) to assess the extent to which psychosocial variables are associated with connectedness in school and peer domains. Methods: A cross-sectional study was conducted in 135 adolescents with CD (51.9% boys), average age of 14 ± 1. 5 years old (SD = 1.5). Socio-demographic, clinical, and psychosocial variables were assessed, using a self-reported questionnaire, which included the Chronic Conditions Short Questionnaire, KIDSCREEN-10 Index, Symptoms Check-List, Healthy Kids Resilience Assessment Module Scale, Adolescent Self-Regulatory Inventory, and Satisfaction with Social Support Scale. Descriptive statistics, GLM-Univariate ANCOVA and Logistic Regression were performed using the IBM Statistical Package for Social Sciences (SPSS), version 22.0. The significance level was set at p < 0.05. Results: Thirteen to eighteen percent of the adolescents felt that CD affected participation at school (PSCH) and participation in leisure time with friends (PLTF). These adolescents presented lower results for all psychosocial study variables, when compared with adolescents who did not feel affected in both areas of participation. From the studied psychosocial variables, the most important ones associated with PSCH (after controlling for age, gender, diagnosis, and education level of father/mother) were self-regulation and psychosomatic health. Concerning the PLTF, social support was the sole variable explaining such association. Conclusions: The present study pointed out the association between psychosocial variables; and living with a CD and school/peers connectedness. The need to focus on the assessment of the effects of a CD on adolescents’ lives and contexts is suggested, as well as on the identification of vulnerable adolescents. Such identification could help to facilitate the maximization of social participation of adolescents with CD, and to plan interventions centered on providing support and opportunities for a healthy youth development. For that purpose, a complex and multifactorial approach that includes clinicians, schools, family, and peers may be proposed.pt_PT
dc.description.sponsorshipFundação para a Ciência e a tecnologia (FCT)pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMC Pediatrics, 16, 211-221. Doi: 10.1186/s12887-016-0748-xpt_PT
dc.identifier.doi10.1186/s12887-016-0748-xpt_PT
dc.identifier.issn1471-2431
dc.identifier.urihttp://hdl.handle.net/10400.12/5157
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBioMed Centralpt_PT
dc.relationQUALIDADE DE VIDA, PERCEPÇÃO DE SAÚDE, RESILIÊNCIA, AUTO-REGULAÇÃO E SUPORTE SOCIAL NOS ADOLESCENTES PORTUGUESES COM DOENÇA CRÓNICA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectAdolescentspt_PT
dc.subjectChronic health conditionspt_PT
dc.subjectHealth-related quality of lifept_PT
dc.subjectPsychosocial factorspt_PT
dc.subjectPsychosomatic healthpt_PT
dc.subjectResiliencept_PT
dc.subjectSelf-regulationpt_PT
dc.subjectSocial supportpt_PT
dc.titleAdolescent’s subjective perceptions of chronic disease and related psychosocial factors: Highlights from an outpatient context studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleQUALIDADE DE VIDA, PERCEPÇÃO DE SAÚDE, RESILIÊNCIA, AUTO-REGULAÇÃO E SUPORTE SOCIAL NOS ADOLESCENTES PORTUGUESES COM DOENÇA CRÓNICA
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBD%2F82066%2F2011/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876/UID%2FPSI%2F04810%2F2013/PT
oaire.citation.conferencePlaceUnited Kingdompt_PT
oaire.citation.endPage221pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage211pt_PT
oaire.citation.titleBMC Pediatricspt_PT
oaire.citation.volume16pt_PT
oaire.fundingStream5876
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublicationec581b55-3e93-49fd-9fc7-0e80674348b8
relation.isProjectOfPublicationbde29b74-579e-493a-920c-09723e43ef3d
relation.isProjectOfPublication.latestForDiscoveryec581b55-3e93-49fd-9fc7-0e80674348b8

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